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Classification of Neuropathic Facial Pain

·       Classic Trigeminal Neuralgia, type 1, (TN1): (also known as tic douloureux) facial pain of spontaneous onset with greater than 50% limited to the duration of an episode of pain (temporary pain).  TN is often caused by loss of or damage to the nerve’s protective coating, (myelin). The most widely accepted view is that myelin damage results from irritation of the nerve, usually a blood vessel that causes the nerve to be compressed.

 

·     Trigeminal Neuralgia, Type 2, (TN2): facial pain of spontaneous onset with greater than 50% as a constant pain.

 

·     Secondary Symptomatic Trigeminal Neuralgia (STN): Pain resulting from multiple sclerosis.

 

·     Post- Herpetic Neuralgia (PHN): pain resulting from herpes zoster outbreak (SHINGLES) along the trigeminal nerve.

 

·     Trigeminal Neuropathic Pain (TNP): facial pain resulting from unintentional injury to the trigeminal system from facial trauma, oral surgery, ear, nose and throat (ENT) surgery, root injury from posterior fossa or skull base surgery, stroke, etc. This pain is described as dull, burning, or boring and is usually constant because the injured nerve spontaneously sends impulses to the brain. The injured nerve is also hypersensitive to stimulation, so attacks of sharp pain can also be present. The area which is sensitive to touch and triggers these sharp attacks is the same area where the pain occurs. Numbness and tingling are also signs of a damaged nerve.

 

Trigeminal Deafferentation Pain (TDP): facial pain in a region of trigeminal numbness resulting from intentional injury to the trigeminal system from neurectomy, gangliolsys, rhizotomy, nucleotomy, tractotomy, or other denervating procedures. Despite the loss of sensation, constant pain is felt in the numb area(s), which varies in intensity and can include sensations of burning, crawling, tingling, boring, stinging, and/or unpleasant aching.

 

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Nice job with this video, very informative. Please share ://youtu.be/uzyF5NIleu0…

  

Latest Activity

Dental injury's discussion was featured

Don't treat dental injuries with procedures for trigeminal neuralgia

If you were injured during or shortly after a dental procedure, you don't have trigeminal neuralgia…See More
1 hour ago
Profile IconThe Facial Pain Association via Facebook
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Nice job with this video, very informative. Please share ://youtu.be/uzyF5NIleu0…

See More
Facebook1 hour ago · Reply
gladiator1 replied to Dental injury's discussion Don't treat dental injuries with procedures for trigeminal neuralgia
"Dear Dental injury - I have not been on this board in a while; I live with daily unrelenting nerve…"
3 hours ago
Dental injury replied to Dental injury's discussion Don't treat dental injuries with procedures for trigeminal neuralgia
"Below is a link to a story that was done by NBC affiliate in PA about a friend who I met on line…"
4 hours ago
Dental injury replied to Dental injury's discussion Don't treat dental injuries with procedures for trigeminal neuralgia
"Dr. Dennis,  you are the first person who I have seen try to tell dental patients not to treat…"
5 hours ago
Dental injury replied to Dental injury's discussion Don't treat dental injuries with procedures for trigeminal neuralgia
"Yes.  I never let him touch me.  He was trying to treat my dental problem - a chemically…"
5 hours ago
Dental injury replied to Dental injury's discussion Don't treat dental injuries with procedures for trigeminal neuralgia
"Dr. Dennis, This article was written at my request after I contacted Dr. Barrett and asked him why…"
5 hours ago
Marg is now a member of TNA Facial Pain Network
19 hours ago

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